The role of staged Fontan operation on early and long-term outcome

Y. Iino, R. Aeba, K. Hashizume, K. Koizumi, T. Katogi, R. Yozu

Research output: Contribution to journalArticle

Abstract

Of 185 patients with single ventricle physiology, 59 patients who underwent Fontan type operations between April 1970 and May 2002 served as subjects. Subjects displayed a median age of 5.2 years and a median body weight of 11.4 kg. In the first 22 years (group 1), 34 patients underwent concomitant right atrium-pulmonary artery (RA-PA) anastomosis, Björk procedure and total cavopulmonary connection (TCPC), while in the last 8 years (group 2), 25 patients underwent staged TCPC, where bidirectional cavopulmonary shunt (BCPS) and obliteration of additional pulmonary blood flow was performed previously. Four cases of early death (group 1:4 patients, group 2:0 patient) and 12 cases of late death (group 1:11 patients, group 2:1 patient) were encountered. Early mortality was 6.8% (group 1:12%, group 2:0%, p = 0.10) and late mortality was 21%. The 5-year survival rate was 85.2 +/- 4.9% (group 1:80.0 +/- 6.8%, group 2:93.8 +/- 6.1%, p = NS), and the 10-year survival rate was 79.6 +/- 6.0%. Staged TCPC, precedent BCPS with obliteration of additional pulmonary blood flow, seems to be beneficial for accurate patient selection for Fontan candidate.

Original languageEnglish
Pages (from-to)276-279
Number of pages4
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume56
Issue number4
Publication statusPublished - 2003

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Fontan Procedure
Survival Rate
Lung
Mortality
Heart Atria
Patient Selection
Pulmonary Artery
Body Weight

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Iino, Y., Aeba, R., Hashizume, K., Koizumi, K., Katogi, T., & Yozu, R. (2003). The role of staged Fontan operation on early and long-term outcome. Kyobu geka. The Japanese journal of thoracic surgery, 56(4), 276-279.

The role of staged Fontan operation on early and long-term outcome. / Iino, Y.; Aeba, R.; Hashizume, K.; Koizumi, K.; Katogi, T.; Yozu, R.

In: Kyobu geka. The Japanese journal of thoracic surgery, Vol. 56, No. 4, 2003, p. 276-279.

Research output: Contribution to journalArticle

Iino, Y, Aeba, R, Hashizume, K, Koizumi, K, Katogi, T & Yozu, R 2003, 'The role of staged Fontan operation on early and long-term outcome', Kyobu geka. The Japanese journal of thoracic surgery, vol. 56, no. 4, pp. 276-279.
Iino Y, Aeba R, Hashizume K, Koizumi K, Katogi T, Yozu R. The role of staged Fontan operation on early and long-term outcome. Kyobu geka. The Japanese journal of thoracic surgery. 2003;56(4):276-279.
Iino, Y. ; Aeba, R. ; Hashizume, K. ; Koizumi, K. ; Katogi, T. ; Yozu, R. / The role of staged Fontan operation on early and long-term outcome. In: Kyobu geka. The Japanese journal of thoracic surgery. 2003 ; Vol. 56, No. 4. pp. 276-279.
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